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<div class=Section1>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>ANXIETY</span></b><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>:
Reported apprehension, tension, fear, panic or worry. Rate only the patient's
statements, not observed anxiety that is rated under </span><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>TENSION</span></b><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'><o:p>&nbsp;</o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>Have
you been worried a lot during [mention time frame]? Have you been nervous or apprehensive?
(What do you worry about?)<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>Are
you concerned about anything? How about finances or the future?<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>When
you are feeling nervous, do your palms sweat or does your heart beat fast (or shortness
of breath, trembling, choking)?<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>[If
patient reports anxiety or autonomic accompaniment, ask the following];<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'><o:p>&nbsp;</o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>How
much of the time have you been [use patient's description]?<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>Has
it interfered with your ability to perform your usual <span class=SpellE>activitieslwork</span>?<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>NA
<span class=GramE>Not</span> assessed<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>1
Not Present<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>2
Very Mild<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Reports
some discomfort due to worry OR infrequent worries that occur more than usual for
most normal individuals.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>3
Mild<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Worried
frequently but can readily turn attention to other things.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>4
Moderate <o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Worried
most of the time and cannot turn attention to other things easily but no impairment
in functioning OR occasional anxiety with autonomic accompaniment but no impairment
in functioning.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>5
Moderately Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Frequent,
but not daily, periods of anxiety with autonomic accompaniment, OR some areas
of functioning are disrupted by anxiety or worry.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>6
Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Anxiety
with autonomic accompaniment daily but not persisting throughout the day OR many
areas of functioning are disrupted by anxiety or constant worry.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>7
Extremely Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Anxiety
with autonomic accompaniment persisting throughout the day OR most areas of functioning
are disrupted by anxiety or constant worry.</span><span style='font-size:10.0pt;
font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p></o:p></span></p>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

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